About Paradigm Health
Hospice overview and quality summary
Paradigm Health is a for-profit hospice care provider in Indianapolis, IN, serving patients and families in Marion County and the surrounding area. Medicare certified since 2014, Paradigm Health has provided 12 years of end-of-life and palliative care to the community.
Paradigm Health serves an average of 477 patients per day, covering 159 ZIP codes across its service area. 40% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Paradigm Health a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Indianapolis, IN, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Average
CMS CAHPS Hospice Star Rating
Paradigm Health has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Indianapolis, IN compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
91% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
75% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
75% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
77% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
80% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
83% of caregivers gave a top rating for would recommend, consistent with the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
99.9%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.9%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.8%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.5%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.5%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.3%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Paradigm Health's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
81.2% of Paradigm Health's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
97.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
27.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
32.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
6.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.5%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$16,443
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Paradigm Health's patient population is primarily composed of individuals with dementia (36%), followed by cancer (21%), other conditions (16%), cardiovascular disease (15%), respiratory disease (9%), stroke (5%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Paradigm Health delivers 40% of its care in patients' homes, with 32% in assisted living settings, 27% in nursing facility settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 477 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at Paradigm Health
20 affiliated physicians
Dr. Tammy Durham-boring, DO
Hospice/palliative Care
Dr. Christopher Quinn, MD
Family Practice
Dr. Thomas Van Den Driessche, MD
Family Practice
Dr. Mohammad Bahrami, MD
Family Practice
Dr. Karthik Polsani, MD
Hospitalist
Dr. David Ilo, MD
Internal Medicine
Dr. Mahmoud Yassin Kassab, MD
Internal Medicine
Dr. Madeline Chikamba, MD
Internal Medicine
Dr. Bryon Miller, NP
Nurse Practitioner
Dr. Sylvana Atallah, MD
Internal Medicine
Dr. Craig Cieciura, MD
Internal Medicine
Dr. Paul Hamori, MD
Internal Medicine
+ 8 more physicians
Dr. Syed Hashmi, MD
Internal Medicine
Dr. Rutvik Patel, MD
Internal Medicine
Dr. Katlyn Gahagen
Physician Assistant
Dr. Chijioke Kalu, MD
Family Practice
Dr. John Thomas, MD
Family Practice
Dr. Lance Washington, MD
Internal Medicine
Dr. James Pike, DO
Pulmonary Disease
Dr. Staci Hollar, MD
Geriatric Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Paradigm Health
What is the CMS rating for Paradigm Health?
Paradigm Health has a 3-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Paradigm Health primarily treat?
Paradigm Health's patient population includes dementia (36%), cancer (21%), other conditions (16%), cardiovascular disease (15%), respiratory disease (9%), stroke (5%). This reflects the hospice's experience managing these conditions.
Where does Paradigm Health provide care?
Paradigm Health provides care in patient's home (40%), assisted living (32%), nursing facility (27%).
How large is Paradigm Health?
Paradigm Health serves an average of 477 patients per day and covers 159 ZIP codes in its service area.
How many doctors are affiliated with Paradigm Health?
20 physicians are affiliated with Paradigm Health.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·